DOI: https://dx.doi.org/10.18203/2319-2003.ijbcp20222751
Published: 2022-10-27

Use of iodine tincture in the management of wound dehiscence in operated mandibular fracture along with hardware salvage: a case report

Mansi Dey, Bibhu P. Mishra, Vikram Sharma, Abhijeeta Sahoo

Abstract


Mandibular fractures are one of the most common facial fractures. Depending on the severity, they are treated either by closed reduction or open reduction and internal fixation. Hardware exposure is one of the postoperative complications associated with the latter. Data involving decision regarding removal or salvage of hardware in such cases is lacking. We present a case of wound dehiscence with hardware exposure in an operated mandibular fracture, which was managed by placing tincture iodine dressing, thus obviating the need for hardware removal.


Keywords


Fracture, Wound dehiscence, Hardware exposure, Salvage

Full Text:

PDF

References


Lindqvist C, Kontio R, Pihakari A, Santavirta S. Rigid internal fixation of mandibular fractures - an analysis of 45 patients treated according to the ASIF method. Int J Oral Max Fac Surg. 1986;15:657-64.

Ellis E. Rigid skeletal fixation of fractures. J Oral Maxillofacial Surg. 1993;51:163-73.

Mukerji R, Mukerji G, McGurk M. Mandibular fractures: Historical perspective. Br J Oral Maxillofac Surg. 2006;44:222-8.

Chuong R, Donoff RB, Guralnick WC. A Retrospective analysis of 327 mandibular fractures. J Oral Max Fac Surg. 1983;41:305-9.

Dodson TB, Perrott DH, Kaban LB, Gordon NC. Fixation of mandibular fractures: A comparative analysis of rigid internal fixation and standard fixation techniques. J Oral Max Fac Surg. 1990;48:362-6.

Valentino J, Marentere LJ. Supplemental maxillomandibular fixation with miniplate osteosynthesis. Otolaryngol Head Neck Surg. 1995;112:215-20.

Herford AS, Ellis E. Use of a locking reconstruction bone plate/screw system for mandibular surgery. J Oral Maxillofac Surg. 1998;56:1261-5.

Ellis III E. Is lag screw fixation superior to plate fixation to treat fractures of the mandibular symphysis? J Oral Maxillofac Surg. 2012;70:875-82.

Hernandez Rosa J, Villanueva NL, Sanati-Mehrizy P, Factor SH, Taub PJ. Review of maxillofacial hardware complications and indications for salvage. Craniomaxillofacial trauma & reconstruction. 2016;9(2):134-40.

Vermeulen H, Westerbos SJ, Ubbink DT. Benefit and harm of iodine in wound care: a systematic review. J Hosp Infect. 2010;76(3):191-9.